脑卒中合并吞咽障碍的早期诊断及康复治疗

目的 观察急性期脑卒中合并吞咽障碍患者早期诊断及康复治疗的效果.方法 选择急性脑卒中合并吞咽障碍患者152例,随机分为两组.治疗组进行早期评估及康复治疗;对照组按照常规治疗;治疗时间为3周.结果 两组治疗前后的吞咽能力:治疗组显效率为18.4%(14例),有效率为60.5%(46例);对照组显效率为6.1%(5例),有效率为39.5%(30例);两组比较有显著性差异.两组吸入性肺炎发生率:治疗组为21.1%(16例);对照组为46.1%(35例);两组比较有显著性差异.结论 对急性脑卒中合并吞咽障碍患者进行早期诊断及康复治疗,能有效地降低吸入性肺炎的发生率,吞咽功能可得到显著恢复.

The early diagnosis and rehabilitative treatment in acute storke patients with dysphagia

Objective To observe the effect of early diagnosis and rehabilitative treatment on the acute storke patients with dysphagia. Methods 152 dysphagia patients with acute stroke were divided into treatment group and control group randomly and each had 76 cases. The treatment group received early assessment and rehabilitative treatment, while the control group received routine therapy only. The two groups were treated for 3 weeks. Results Comparision between the dysphgia ability before and after the treatment: in the treatment group, the siganificant effective rate was 18.4% and the effective rate was 60.5%, while in the control group, the siganificant effective rate was 6.1% and the effective rate was 39.5%, there were siganificant differences between the two groups. Reduction of the incidence of the aspiration pneunonia in the two groups: the incidence rate in the treatment group was 21.1%, and that in the control group was 46.1%, there was siganificcant difference between the two groups. Conclusions Early screening, assessment and rehabilitative treatment for the dysphagia patients with acute stroke can decrease the incidence of the aspiration pneumonia. The swallowing function can be improved siganificantly after the intervention.